This topic concern with infertlity due to both female and male factor etiology and it's management including ART.

1. PRESENTED BY:-
Abhilasha Verma
M.Sc. Prev. 2015-16
SMS Nursing College
(Jaipur)
PRESENTATION
ON
FEMALE INFERTILITY

2. DEFINITION:
“ Infertility refers to inability to achieve
pregnancy after 12 months of having
unprotected sexual intercourse with
average frequency of 3 to 4 times per
week without use of any birth control
measure”

3. TYPES OF INFERTILITY:
PRIMARY
INFERTILITY
SECONDARY
INFERTILITY

4. ETIOLOGY:
•MALE FACTORS1.
•FEMALE FACTORS2.

5. FEMALE FACTOR
OVARIAN FACTORS
TUBAL & PERITONEAL FACTORS
UTERINE FACTORS
CERVICAL FACTORS
VAGINAL FACTORS
COMBINED FACTORS

6. MALE FACTOR INFERTILITY
DEFECTIVE SPERMATOGENESIS
OBSTRUCTION OF EFFERENT
DUCT
FAILURE TO DEPOSITE SPERM
SEMINAL FLUID ERRORS

7. RISK FACTORS
• Age
• Smoking
• Over weight
• Over exercising
• STDs
• Frequency & timing of sexual intercourse
• Mental stress

8. DIAGNOSTIC INVESTIGATIONS
• History collection
• General physical examinations
• Gynaecological examinations
• Cervical mucus study
• Hormone estimation
• Endometrial biopsy
• Sonography
• Rubin’s test
• Hystero Salpino Graphy [ HSG]

9. MANAGEMENT
GENERAL INSTRUCTIONS-
• Maintenance of body weight.
• Avoid smoking & alcohol.
• Maintain ideal coital frequency.
[ 3-4 times / week in fertile period]
• Use of LH surge kit.
• Avoid lubricants, spermicidal jellies and creams.
• Avoid fertility impairing medications.
• Psychological support.

10. MANAGEMENT OF FEMALE
INFERTILITY
MEDICATIONS ARTSURGERY

11. SURGERY
• Surgical removal of tumor

12. BALLOON TUBOPLASTY

13. FIMBRIOPLASTY

14. ADHESIONOLYSIS

15. ASSISTED REPRODUCTIVE
TECHINQUES
“Assisted reproductive techniques involving direct
retrieval of oocyte from ovary , manipualtion of
gametes and embroyos outside body for purpose of
establishing pregnancy”

16. TYPES OF ART
1. IUI [ Intra Uterine Insemination]
2. IVF- ET [ In vitro fertilization & Embryo Transfer]
3.GIFT [ Gamete Intra fallopian Transfer]
4.ZIFT [ Zygote Intra Fallopian Transfer]
5. ICSI [ Intra Cytoplasmic Sperm Injection]

17. INTRA UTERINE INSEMINATION

18. IVF-ET

19. INVITRO FERTILIZATION AND
EMBRYO TRANSFER [ IVF-ET]

20. GAMETE INTRA FALLOPIAN
TRANSFER ( GIFT)
• GIFT is similar to IVF but the difference is that
in IVF technique fertilization done in vitro &
embryo is transferred and in GIFT sperm and
oocytes are mixed in vitro & fertilization done
in vivo. Done in case if male don’t have
capacities to ejaculate deeply.

21. ZYGOTE INTRA FALLOPIAN
TRANSFER ( ZIFT)
• Egg cells removed and fertilized in laboratory and
zygote placed in fallopian tube following day 1 of
IVF.

22. INTRA CYTOPLASMIC SPERM
INJECTION ( ICSI)
• Sperm injected directly into egg cell.
• Done in case of male factor infertility.